Balestra, Rick
Balestra, Rick is an sole proprietor health care provider with primary practice located at 1111 Ne 99Th Ave Ste 200 , Portland OR 97220-9442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Balestra, Rick can be contacted via phone (503) 963-3030.Contact Information
Primary practice address
1111 Ne 99Th Ave Ste 200
Portland OR 97220-9442
Phone: (503) 963-3030
Fax: (503) 963-3140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD169371 | Oregon |
Profile Details
| NPI number | 1184824351 |
|---|---|
| LBN Legal business name | Balestra, Rick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Dec 1st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184824351 | NPPES |
| Washington | MEDICAID | 2078063 | |
| Washington | MEDICAID | 500679518 |
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